Laserfiche WebLink
EV. Except for any wock identif�ed�ove,any bidcler or subconErac#or that shali perform a!1 or part of the work af the <br /> contract or deliver and ins#a!!proposa!salely by individual owr�ers�partners or members and not by emplayees to <br /> whom the payment of prevailing rates of wages wautd be required,checK the foAowing box,and identify#he <br /> owrrerlaperator workforce and positions of ovime�ship. ❑ <br /> The requirements of this certification and disclosure are a maferial part of the cantract,and ihe con#ractar shall require this <br /> certification provision to be included in all approved subcon#racts. The bidder is responsible for making a complete report <br /> and shaii make certain that each fype of work or crafk job ca#egary tha#will be u#ilized on the project is accounted for and <br /> !is#ed. The Department a#any Eime be€ore or after award may require the prodtsction of a copy a#each applicable <br /> Certificate of Registrafion issued by the United States Qepartment of�abar evidencing such pa�ticipation by the contractor <br /> and any or all of its subcontractors. In arder ta fulfi0 the pacticipatian requirement,it shall not be necessary that any <br /> applicabie program spansor be currently iaking or that it wiq take applications for apprenticeship, training or employment <br /> during the performance of the wark o€this cantract or detiver and ins#aN proposa <br /> �JUt�f�r �1UU(�i�� f � �C <br /> Bidder: (�'dS 4 F � By: �-' l <br /> . � � (Si nature} <br /> Address: �,.�;,. '` $'Z� Titie: � �Q,�� '"� <br /> Printed d/15/2019 Page 2 of 2 BlR 12325{Rev.4147) <br />